<form id="edit-form" class="form-horizontal" role="form" data-toggle="validator" method="POST" action="">

    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Dzkh')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-dzkh" data-rule="required" class="form-control" name="row[dzkh]" type="text" value="{$row.dzkh}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Sqriqi')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-sqriqi" readonly class="form-control" name="row[sqriqi]" type="text" value="{$row.sqriqi}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Gsname')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-gsname" data-rule="required" class="form-control" name="row[gsname]" type="text" value="{$row.gsname}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Gssh')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-gssh" data-rule="required" class="form-control" name="row[gssh]" type="text" value="{$row.gssh}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Hwhyslwfwmc')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-hwhyslwfwmc" data-rule="required" class="form-control" name="row[hwhyslwfwmc]" type="text" value="{$row.hwhyslwfwmc}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Unit')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-unit" data-rule="required" class="form-control" name="row[unit]" type="text" value="{$row.unit}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Num')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-num" class="form-control" name="row[num]" type="number" value="{$row.num}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Hsprice')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-hsprice" class="form-control" name="row[hsprice]" type="text" value="{$row.hsprice}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Sl')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-sl" class="form-control" name="row[sl]" type="text" value="{$row.sl}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Zprice')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-zprice" class="form-control" name="row[zprice]" type="text" value="{$row.zprice}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Pzlx')}:</label>
        <div class="col-xs-12 col-sm-8">
                        
            <select  id="c-pzlx" class="form-control selectpicker" name="row[pzlx]">
                {foreach name="pzlxList" item="vo"}
                    <option value="{$key}" {in name="key" value="$row.pzlx"}selected{/in}>{$vo}</option>
                {/foreach}
            </select>

        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Khhzh')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-khhzh" data-rule="required" class="form-control" name="row[khhzh]" type="text" value="{$row.khhzh}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Addr')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-addr" data-rule="required" class="form-control" name="row[addr]" type="text" value="{$row.addr}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Tel')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-tel" data-rule="required" class="form-control" name="row[tel]" type="text" value="{$row.tel}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('State')}:</label>
        <div class="col-xs-12 col-sm-8">
            
            <div class="radio">
            {foreach name="stateList" item="vo"}
            <label for="row[state]-{$key}"><input id="row[state]-{$key}" name="row[state]" type="radio" value="{$key}" {in name="key" value="$row.state"}checked{/in} /> {$vo}</label> 
            {/foreach}
            </div>

        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Fpbh')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-fpbh" data-rule="required" class="form-control" name="row[fpbh]" type="text" value="{$row.fpbh}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Remarks')}:</label>
        <div class="col-xs-12 col-sm-8">
            <textarea id="c-remarks" class="form-control " rows="5" name="row[remarks]" cols="50">{$row.remarks}</textarea>
        </div>
    </div>

    <div class="form-group layer-footer">
        <label class="control-label col-xs-12 col-sm-2"></label>
        <div class="col-xs-12 col-sm-8">
            <button type="submit" class="btn btn-success btn-embossed disabled">{:__('OK')}</button>
            <button type="reset" class="btn btn-default btn-embossed">{:__('Reset')}</button>
        </div>
    </div>
</form>
